Basic Information
| Provider Information | |||||||||
| NPI: | 1528356144 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TUFTS FLOATING HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 800 WASHINGTON ST | ||||||||
| Address2: | |||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021111552 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6176365078 | ||||||||
| FaxNumber: | 6176368391 | ||||||||
| Practice Location | |||||||||
| Address1: | 800 WASHINGTON ST | ||||||||
| Address2: | |||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021111552 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6176365078 | ||||||||
| FaxNumber: | 6176368391 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/17/2011 | ||||||||
| LastUpdateDate: | 07/17/2011 | ||||||||
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| AuthorizedOfficialLastName: | LAU | ||||||||
| AuthorizedOfficialFirstName: | BONNIE | ||||||||
| AuthorizedOfficialMiddleName: | W | ||||||||
| AuthorizedOfficialTitleorPosition: | HOUSE OFFICER | ||||||||
| AuthorizedOfficialTelephone: | 6176365078 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D., PH.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282NC2000X | 249103 | MA | Y | Hospitals | General Acute Care Hospital | Children |
No ID Information.